| Course | PA 612 Clinical Clerkship - Internal Medicine |
|---|---|
| Week | 3 |
| Paper type | Rounds presentation script |
| Length | About 520 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 612 Week 3
Attending Rounds Presentation for W.H. on Hospital Day 3: The Updated One-Liner, the Night in Two Sentences, Definite Endocarditis on a Repaired Mitral Valve and Two Decisions Asked For by Name
Student Name
Chamberlain University
PA 612: Clinical Clerkship - Internal Medicine
Instructor Name
Month Day, Year
Attending Rounds Presentation for W.H. on Hospital Day 3: The Updated One-Liner, the Night in Two Sentences, Definite Endocarditis on a Repaired Mitral Valve and Two Decisions Asked For by Name
Update the One-Liner
"W.H., 74, with a repaired mitral valve, is now on hospital day 3 and antibiotic day 3 for Streptococcus gallolyticus endocarditis of the mitral valve, afebrile for 24 hours, with blood cultures from day 2 showing no growth so far."
The Night Goes Near the Front
"Overnight, no fever; one episode of nausea after dinner, settled without medication. Slept through."
Then the Data That Changed
"The echocardiogram yesterday showed a 9-millimeter mobile vegetation on the posterior mitral leaflet next to the annuloplasty ring, with moderate regurgitation. With two positive cultures for a typical organism and an imaging finding of endocarditis, W.H. meets definite endocarditis by the 2023 Duke criteria (Fowler et al., 2023). Susceptibility returned: penicillin minimum inhibitory concentration of 0.06, fully susceptible. Repeat cultures: one of two sets from admission positive; both sets from day 2 no growth at 36 hours."
Laboratory this morning: white count 9.6, down from 11.4; hemoglobin 9.6, stable; creatinine 0.9. Vital signs overnight: temperature maximum 37.4, pulse 76 to 88, blood pressure stable. Cardiology reviewed the echocardiogram yesterday afternoon and agreed with the reading; no abscess or perforation of the leaflet was seen.
Settled Problems Get a Clause
"Hypertension stable on amlodipine. Anemia unchanged at 9.6; aspirin held."
Say What You Want Decided
"Two decisions today. First, duration: because the annuloplasty ring is prosthetic material, I am proposing the six-week course recommended for prosthetic material with a highly susceptible streptococcus (Baddour et al., 2015), counting from the first negative culture on day 2, so through April 13. Do you agree, and do we add gentamicin for the first two weeks? Second, the colonoscopy: I would like to request it for day 6, with bowel preparation starting the evening of day 5, now that cardiology and cardiac surgery have seen W.H. Cardiac surgery's view yesterday was no surgical indication now: no heart failure, no embolic event and a vegetation under 10 millimeters."
Write for the Morning It Is
The presentation uses today's numbers only. The admission history is not repeated; the team heard it on day 1 and it is in the chart.
I rehearsed it at the bedside before rounds: about two minutes, with the decisions at the end rather than buried in the middle.
What I Will Do After Rounds
Request the colonoscopy, place the infectious disease consult note if the attending wants a second opinion on gentamicin, and arrange the PICC line once cultures from day 2 are final at 48 hours.
I will also update the problem list with the Duke classification and the antibiotic stop date, so every later note shows the same numbers.
References
Baddour, L. M., Wilson, W. R., Bayer, A. S., Fowler, V. G., Jr., Tleyjeh, I. M., Rybak, M. J., Barsic, B., Lockhart, P. B., Gewitz, M. H., Levison, M. E., Bolger, A. F., Steckelberg, J. M., Baltimore, R. S., Fink, A. M., O'Gara, P., & Taubert, K. A. (2015). Infective endocarditis in adults: Diagnosis, antimicrobial therapy, and management of complications: A scientific statement for healthcare professionals from the American Heart Association. Circulation, 132(15), 1435-1486. https://doi.org/10.1161/CIR.0000000000000296
Fowler, V. G., Durack, D. T., Selton-Suty, C., Athan, E., Bayer, A. S., Chamis, A. L., Dahl, A., DiBernardo, L., Durante-Mangoni, E., Duval, X., Fortes, C. Q., Fosbøl, E., Hannan, M. M., Hasse, B., Hoen, B., Karchmer, A. W., Mestres, C. A., Petti, C. A., Pizzi, M. N., . . . Miro, J. M. (2023). The 2023 Duke-International Society for Cardiovascular Infectious Diseases criteria for infective endocarditis: Updating the modified Duke criteria. Clinical Infectious Diseases, 77(4), 518-526. https://doi.org/10.1093/cid/ciad271
What the PA 612 Week 3 assignment asks for
The third week asks for an attending rounds presentation written so it can be delivered without being read word for word. Open with the one-liner updated to the current hospital day, not copied from admission. Put overnight events near the front in two or three sentences. Then give the data that changed since yesterday. Settled problems get a clause each. The key element is saying what you want decided, with your proposed answer, so the attending can agree or disagree quickly. Write for the morning it is: today's numbers only, no repeated admission history. If nothing happened overnight, say so in one line. The written version may differ from that day's progress note. Cite the guidance behind the decisions you propose.
Inside the PA 612 Week 3 example
The script opens with W.H. on hospital day 3 and antibiotic day 3, afebrile for 24 hours, with day-2 cultures still clear. The night section reports one episode of nausea and good sleep. The data section reports the echocardiogram's 9-millimeter vegetation by the annuloplasty ring with moderate regurgitation, which satisfies the Duke criteria as revised by Fowler et al. (2023), a penicillin MIC of 0.06 and one of two admission cultures positive. Hypertension and anemia get a clause each. The decisions section proposes a 42-day course ending April 13 because the ring counts as prosthetic material, citing Baddour et al. (2015), asks about gentamicin and requests colonoscopy on day 6 with cardiac surgery's no-surgery view. Short sections cover writing for the day and the tasks after rounds.
Where the points sit in the PA 612 Week 3 rubric
Rounds presentations lose the most when they restate the admission story instead of updating the one-liner, which spends the attending's time on what is already known. Next comes a presentation with no request, so decisions are left implicit. Graders deduct for overnight events buried at the end. Faculty reward today's data reported concisely, settled problems compressed to a clause and decisions asked by name with a proposed answer. Citation of the guidance behind proposals earns credit. A spoken style, with short sentences and numbers rounded as said, is checked. The list of tasks after rounds shows ownership, and APA form completes the rubric.
Common PA 612 Week 3 mistakes, and how to avoid them
Presentations most often fall short by reading the progress note aloud, from vital signs to every laboratory value, without a decision at the end. Another common problem is copying the admission one-liner unchanged. Some also present settled problems at the same length as active ones. If your patient is on a different day or diagnosis, send the overnight events, the new data and the decisions pending; a script prepared for you would update the one-liner, put the night up front, give the changed data, compress settled problems and ask the attending for named decisions with your proposals. If your attending prefers a specific order, the script would follow it.
Get a PA-612 Week 3 example written to your instructions
Send the assignment, the rubric and any timing or order your service publishes for rounds, and a custom PA-612 rounds presentation is written to them and returned inside 24-48h, first one free. Sections grading a live delivery still mark the sequence underneath it, so the written version arrives with its cuts marked and its ask in place.
More PA 612 papers and MPAS samples
- PA 612 Week 1: Inpatient Day Count Post
- PA 612 Week 2: Admission History and Physical
- PA 612 Week 4: Overnight Event Summary
- PA 612 Week 5: Problem List Expansion Memo
- PA 612 Week 6: Goals of Care Summary
- PA 612 Week 7: Hospital Course Summary
- PA 612 Week 8: Day of Discharge Checklist
- PA 610 Week 3: Interval History Write-Up
- PA 608 Week 3: Subscore Breakdown
- PA 604 Week 3: Contract Clause Analysis
- PA 603 Week 3: State License Application Packet
PA 612 Week 3 questions, answered
Which problems get speaking time and which get skipped?
The service normally states a limit, and the limit is what forces the choice. A workable rule inside it: any problem whose management changes today gets a sentence, anything being watched gets a clause, and anything resolved gets a word if it is mentioned at all. Services marking completeness instead of selection publish that expectation, so check which one yours rewards.
Is the written version the same as that day's note?
They overlap and they are not interchangeable. The daily note carries the full data, the examination and every problem on the list. The presentation carries the subset the team needs in order to decide something this morning. Assignments asking for both are usually marking whether the two agree, so an example for this week stays shorter and points at a decision.
What if nothing happened overnight?
Uneventful is itself a result, and it gets reported rather than skipped. A settled night is said in a sentence, followed by what the team planned to reassess today and whether the answer is back yet. Presentations treating an uneventful night as having nothing to report give up the chance to say why the patient is still admitted, which is what an attending is holding on the fifth morning.
Where can I find a free PA 612 Week 3 sample paper?
This page carries a complete PA 612 Week 3 attending rounds script for endocarditis on hospital day 3, ending with two named decisions.
Why does the PA 612 Week 3 sample propose six weeks of antibiotics?
The patient's annuloplasty ring counts as prosthetic material, for which the AHA statement recommends six weeks even for a fully susceptible streptococcus.